Oral health in a long‐term care institution equipped with a dental service
Identifieur interne : 001530 ( Istex/Corpus ); précédent : 001529; suivant : 001531Oral health in a long‐term care institution equipped with a dental service
Auteurs : Michael I. Macentee ; John G. Silver ; Gary Gibson ; Rachel WeissSource :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 1985-10.
Abstract
Abstract The oral health and medico‐dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60%) of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter‐examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.
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DOI: 10.1111/j.1600-0528.1985.tb00449.x
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Silver</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author><author><name sortKey="Gibson, Gary" sort="Gibson, Gary" uniqKey="Gibson G" first="Gary" last="Gibson">Gary Gibson</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author><author><name sortKey="Weiss, Rachel" sort="Weiss, Rachel" uniqKey="Weiss R" first="Rachel" last="Weiss">Rachel Weiss</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:2BA32A8129ED1BDA66EC725D60A915D271AF012A</idno><date when="1985" year="1985">1985</date><idno type="doi">10.1111/j.1600-0528.1985.tb00449.x</idno><idno type="url">https://api.istex.fr/document/2BA32A8129ED1BDA66EC725D60A915D271AF012A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001530</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001530</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Oral health in a long‐term care institution equipped with a dental service</title><author><name sortKey="Macentee, Michael I" sort="Macentee, Michael I" uniqKey="Macentee M" first="Michael I." last="Macentee">Michael I. Macentee</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: M. I. MacEntee, University of British Columbia Faculty of Dentistry, 2199 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z7</mods:affiliation></affiliation></author><author><name sortKey="Silver, John G" sort="Silver, John G" uniqKey="Silver J" first="John G." last="Silver">John G. Silver</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author><author><name sortKey="Gibson, Gary" sort="Gibson, Gary" uniqKey="Gibson G" first="Gary" last="Gibson">Gary Gibson</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author><author><name sortKey="Weiss, Rachel" sort="Weiss, Rachel" uniqKey="Weiss R" first="Rachel" last="Weiss">Rachel Weiss</name><affiliation><mods:affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY ORAL EPIDEMIOLOGY</title><idno type="ISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><imprint><biblScope unit="vol">13</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="260">260</biblScope><biblScope unit="page" to="263">263</biblScope><biblScope unit="page-count">4</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1985-10">1985-10</date></imprint><idno type="ISSN">0301-5661</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0301-5661</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract The oral health and medico‐dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60%) of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter‐examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Michael I. MacEntee</name><affiliations><json:string>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</json:string><json:string>Correspondence address: M. I. MacEntee, University of British Columbia Faculty of Dentistry, 2199 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z7</json:string></affiliations></json:item><json:item><name>John G. Silver</name><affiliations><json:string>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</json:string></affiliations></json:item><json:item><name>Gary Gibson</name><affiliations><json:string>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</json:string></affiliations></json:item><json:item><name>Rachel Weiss</name><affiliations><json:string>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>epidemiology, oral</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>geriatric dentistry</value></json:item></subject><articleId><json:string>CDOE260</json:string></articleId><arkIstex>ark:/67375/WNG-V0TWZK2Q-J</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Abstract The oral health and medico‐dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60%) of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. 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I. MacEntee, University of British Columbia Faculty of Dentistry, 2199 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z7</affiliation></author><author xml:id="author-0001"><persName><forename type="first">John G.</forename><surname>Silver</surname></persName><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Gary</forename><surname>Gibson</surname></persName><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Rachel</forename><surname>Weiss</surname></persName><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada<address><country key="CA"></country></address></affiliation></author><idno type="istex">2BA32A8129ED1BDA66EC725D60A915D271AF012A</idno><idno type="ark">ark:/67375/WNG-V0TWZK2Q-J</idno><idno type="DOI">10.1111/j.1600-0528.1985.tb00449.x</idno><idno type="unit">CDOE260</idno><idno type="toTypesetVersion">file:CDOE.CDOE260.pdf</idno></analytic><monogr><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY ORAL EPIDEMIOLOGY</title><idno type="pISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><idno type="book-DOI">10.1111/(ISSN)1600-0528</idno><idno type="book-part-DOI">10.1111/com.1985.13.issue-5</idno><idno type="product">CDOE</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">13</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="260">260</biblScope><biblScope unit="page" to="263">263</biblScope><biblScope unit="page-count">4</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1985-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Abstract</hi> The oral health and medico‐dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60%) of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter‐examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">epidemiology, oral</term><term xml:id="k2">geriatric dentistry</term></keywords><keywords rend="tocHeading1"><term>Oral Gerontology</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/2BA32A8129ED1BDA66EC725D60A915D271AF012A/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0528</doi><issn type="print">0301-5661</issn><issn type="electronic">1600-0528</issn><idGroup><id type="product" value="CDOE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="COMMUNITY DENTISTRY ORAL EPIDEMIOLOGY">Community Dentistry and Oral Epidemiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10005"><doi origin="wiley">10.1111/com.1985.13.issue-5</doi><numberingGroup><numbering type="journalVolume" number="13">13</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="1985-10">October 1985</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0026000" status="forIssue"><doi origin="wiley">10.1111/j.1600-0528.1985.tb00449.x</doi><idGroup><id type="unit" value="CDOE260"></id></idGroup><countGroup><count type="pageTotal" number="4"></count></countGroup><titleGroup><title type="tocHeading1">Oral Gerontology</title></titleGroup><eventGroup><event type="firstOnline" date="2006-05-29"></event><event type="publishedOnlineFinalForm" date="2006-05-29"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:HeaderRef result:HeaderRef" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-08"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-17"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="260">260</numbering><numbering type="pageLast" number="263">263</numbering></numberingGroup><correspondenceTo>M. I. MacEntee, University of British Columbia Faculty of Dentistry, 2199 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z7</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CDOE.CDOE260.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 2 March 1985</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="18"></count><count type="linksCrossRef" number="5"></count></countGroup><titleGroup><title type="main">Oral health in a long‐term care institution equipped with a dental service</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Michael I.</givenNames><familyName>MacEntee</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>John G.</givenNames><familyName>Silver</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Gary</givenNames><familyName>Gibson</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Rachel</givenNames><familyName>Weiss</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">epidemiology, oral</keyword><keyword xml:id="k2">geriatric dentistry</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract</b> The oral health and medico‐dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60%) of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter‐examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Oral health in a long‐term care institution equipped with a dental service</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Oral health in a long‐term care institution equipped with a dental service</title></titleInfo><name type="personal"><namePart type="given">Michael I.</namePart><namePart type="family">MacEntee</namePart><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</affiliation><affiliation>Correspondence address: M. I. MacEntee, University of British Columbia Faculty of Dentistry, 2199 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z7</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John G.</namePart><namePart type="family">Silver</namePart><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gary</namePart><namePart type="family">Gibson</namePart><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rachel</namePart><namePart type="family">Weiss</namePart><affiliation>Faculty of Dentistry, The University of British Columbia, Vancouver, B.C., Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1985-10</dateIssued><edition>Accepted for publication 2 March 1985</edition><copyrightDate encoding="w3cdtf">1985</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">18</extent><extent unit="linksCrossRef">5</extent></physicalDescription><abstract>Abstract The oral health and medico‐dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60%) of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter‐examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.</abstract><subject lang="en"><genre>keywords</genre><topic>epidemiology, oral</topic><topic>geriatric dentistry</topic></subject><relatedItem type="host"><titleInfo><title>Community Dentistry and Oral Epidemiology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0301-5661</identifier><identifier type="eISSN">1600-0528</identifier><identifier type="DOI">10.1111/(ISSN)1600-0528</identifier><identifier type="PublisherID">CDOE</identifier><part><date>1985</date><detail type="volume"><caption>vol.</caption><number>13</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>260</start><end>263</end><total>4</total></extent></part></relatedItem><identifier type="istex">2BA32A8129ED1BDA66EC725D60A915D271AF012A</identifier><identifier type="ark">ark:/67375/WNG-V0TWZK2Q-J</identifier><identifier type="DOI">10.1111/j.1600-0528.1985.tb00449.x</identifier><identifier type="ArticleID">CDOE260</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/2BA32A8129ED1BDA66EC725D60A915D271AF012A/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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